RENAL ARTERY WORKSHEET - 2026

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  1. Click ‘Get Form’ to open the RENAL ARTERY WORKSHEET in our editor.
  2. Begin by entering the 'Date of Exam' and 'Patient’s Phone' in the designated fields at the top of the form.
  3. Fill in the 'Patient Name' and 'DOB' (Date of Birth) to ensure accurate identification.
  4. Complete the 'Referring MD' and 'Reason For Sonogram' sections to provide context for the exam.
  5. For each kidney, input measurements in the 'SAG', 'AP', and 'TRV' fields, marking them as either NORMAL or ABNORMAL as applicable.
  6. Document findings for both right and left renal arteries near helium, mid, and near aorta sections.
  7. Indicate if stenosis is seen or not seen, and add any relevant comments in the provided section.
  8. Finally, have the technologist sign off by entering their name and noting if Color Doppler was applied.

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The three key branches of the renal artery include the inferior adrenal artery, the capsular artery, and the ureteric artery. Just after the renal artery reaches the hilum, it gives off the ventral and dorsal rami, which further divide into many smaller segmental arteries before they enter the renal parenchyma.
The classical distribution of the renal arteries within the kidney as described in the text books form a general pattern which is constant and upon this is founded the division of renal parenchyma into five segments, i.e. Apical, upper, middle, lower and posterior segments.
NYU Langone doctors may suggest consuming more fruits and vegetables and lean protein to keep cholesterol levels in check. They may also recommend limiting or avoiding fried foods, sugary desserts, heavy creams and dressings, and fatty cuts of meat.
These divisions give rise to five segmental arteries: superior segmental artery, anterior superior segmental artery, anterior inferior segmental artery, inferior segmental artery, and posterior segmental artery. The posterior segmental artery supplies most of the posterior kidney, with the exception of the lower pole.
There are certain types of medicines which should be avoided in patients with renal artery stenosis. and potassium sparing diuretics such as Amiloride and Spironolactone. Your doctor should know to avoid these mediicnes but you should check with a doctor if you are on any medication you are not sure of.

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